Thank you for your contribution to the Chai Center. Please fill out the form below: 


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Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
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Post Code*
Country*
Phone
This is my home business address.
Acknowledgement
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You may acknowledge my gift to my email address
Please acknowledge my gift by mail to the above street address.
Please contact me to discuss additional giving opportunities.

You can make your donation:

1. Via bank transfer account nr: BE20-5523-1463-0056

2. Via Paypal account info@chaicenter.be